Ukukhulelwa kwe-Ectopic ngenye yephulo-mthetho kwiminyaka yokuqala yenkqubo yokuthotyelwa. Into ebonakalayo yentsholongwane kukuba ukungabikho kwezibonakaliso, ngoko kudla ngokufumaneka kwiinkcenkcesho - ukuphuka kwebhubhu ye-fallopian kunye nokukhupha isisu .
Yintoni ukukhulelwa kwe-ectopic?
Ukusuka kwingcaciso, unokuqiqa ukuba oku kukukhulelwa ngaphandle kwesisu. Kukho ukukhubazeka kwi-2% yokukhulelwa konke. Kukho ukuphulwa kumanyathelo okuqala, xa i-zygote iqala ukuqhubekela phambili kwayo kwiibhubhu ze-uterine ukuya kwisibeleko, kodwa ayifinyeleli. Ngokuqhelekileyo uhlala kwi-tube ye-fallopian, udibanisa nodonga lwawo. Oku kunokwenzeka, kwaye enye inketho - ukukhishwa kweqanda le-fetal kwelinye icala. Kule meko, ukufakelwa kwendawo kwenzeka kwi-ovary okanye kwisisu esiswini. Le meko idinga ukungenelelo lwezonyango kunye nokunyangwa ngonyango.
Ukukhulelwa kwe-Ectopic - iindidi
Ngokuxhomekeka apho ukutshalwa kweqanda le-fetal kuqhutyelwa khona, ezi ntlobo ezilandelayo zokukhulelwa kwe-ectopic ziyahluka:
- Ukumiswa komzimba kwesisu esizayo kuza kwenzeka emgodini we-peritoneum (0.3% yazo zonke iimeko zokukhulelwa kwe-ectopic).
- I-ovary - isingeniso seqanda lomntwana wesisu livela eludongeni lwe-gland gland (0.2%).
- Ukukhulelwa kombhobho kuyona ndlela ixhaphakileyo, xa ukufakelwa kwento kuqhutyelwa kwisigxina se-tube fallopian (ama-98% amatyala).
- Ikhusi - iqanda le-fetal lisendaweni yomlomo wesibeleko (u-0.01%).
- Kulo uphondo oluphangaleleyo lwe-uterus - ukukhulelwa kuvela kubasetyhini abane-pathology ye-organ organ (0.25%).
- Emzimbeni wesisu - 0.25%.
Izizathu zokukhulelwa kwe-ectopic
Abasetyhini abajongene nale pathologi bahlala benomdla kulo mbuzo: kutheni kubangela ukukhulelwa kwe-ectopic? Impendulo kuwo oogqirha baqala ukukhangela emva kwexesha leyeza. Oku kunceda ukukhusela ukuphuhliswa kwakhona kokuphulwa. Phakathi kwezinto ezixhaphazayo zokukhulelwa kwe-ectopic, kubalulekile ukukhankanya:
- ubukho bembali yokukhipha isisu;
- endometriosis ;
- Ukusetyenziswa kwexesha elide lokukhulelwa kwe-hormonal;
- ukusetyenziswa kwezilwanyana zokukhusela kwangaphakathi;
- Ukusetyenziswa kweendlela zokuzala (ukuvuselelwa kwe-ovulation);
- iinkqubo ezinjenge-tumor kwi-uterus kunye nezixhobo zokusebenza;
- zidluliselwe kwi- adnexitis ;
- ukungalunganga kwesibeletho (i- saddle , ii-horned-two);
- ukulibaziseka kwinkqubo yobushushu.
Indlela yokumisela ukukhulelwa kwe-ectopic?
Kukunzima ukuzimela ngokuzimeleyo ukuphulwa komfazi kwindawo yakhe. Ngenxa yokukhubazeka okunjengokukhulelwa kwe-ectopic, iimpawu zokuqala azikho, kwaye ngokuqhelekileyo zixutywe yinkqubo eqhelekileyo yomzimba. Ibhinqa lilungisa zonke iinguqu ezifanayo kunye nokuqhathaniswa okuqhelekileyo: ukulibaziseka kwimihla, ukuvuvukala kweengcambu zentloko, ukutshintsha kwemizwa. Kwiimeko ezininzi, i-pathology ifunyaniswa xa kukhutshwa isisu-isisu sokukhupha isisu. Kuba eli lizwe liphawu:
- ukuphuma kwi-uterine cavity;
- intlungu kwisisu esezantsi;
- isicefe
- ukuhlanza;
- i-blanching yolusu;
- ukwanda kwenani lentliziyo;
- ukunciphisa uxinzelelo lwegazi.
Ukukhulelwa kwe-Ectopic kuhlala ixesha elide ngaphandle kokubonakaliswa. Iimpawu zokukhulelwa kwe-ectopic kwikota yokuqala zibonakala zidla ngokuphindaphindiweyo kwiiveki ezi-5-6. Ukusola ukuphulwa komfazi kungenza ngezizathu ezilandelayo:
- intlungu kwisisu esezantsi, kwicala, ukunika e-back back and anus;
- ukubola kwegazi - encinci kumthamo wegazi lomzimba wegazi;
- utshintsho olusenyameko kwimpilo - ukungcola, iintloko, ukunyuka okuncinci kumbindi womzimba.
Ngaba uvavanyo lubonisa ukukhulelwa kwe-ectopic?
IHGH hormone ekukhulelweni kwe-ectopic iphinda ikhiqizwe, ngoko uvavanyo oluqhelekileyo lokukhulelwa luza kubonisa umphumo omuhle. Esi sixhobo sinquma izinga elihambelana ne-hormone kumchamo. Ukufumanisa ukuba ukukhulelwa kwe-ectopic okanye akunjalo, kufuneka usebenzise indawo yokuhlola i-hardware-ultrasound.
Nangona kunjalo, kwezinye iimeko, isiphumo sovavanyo oluqhelekileyo lokukhulelwa singabonisa ukuphulwa. Oku kubangelwa ukunyuka okucothayo kwi-hCG ekukhulelweni kwe-ectopic, ngoko ke kwiiveki ezi-6-8 zesiganeko sesibini kubonakala kungabonakali. Le nyaniso kufanele ibe isizathu sokudibana nogqirha.
Ubuhlungu ekukhulelwe kwe-ectopic
Ukubiza izibonakaliso zokukhulelwa kwe-ectopic, phakathi koogqirha bokuqala bavakalelwa ngengozi. Zihlala kwindawo esezantsi, zisoloko zineendawo ezicacileyo - kuxhomekeke kulophi u-oviduct apho kufakwa khona ukufakelwa. Iintlungu zomsindo, zinobunzima obuguquguqukayo kwaye zomeleleke ngomsebenzi wokwenyama. Ngokuqhelekileyo, i-irradiation kumqolo osezantsi, ummandla we-rectum unokumiswa. Emva koko, ukuvakalelwa koluhlungu kuhlanganiswa nokubonakala.
Inyanga nganye yokukhulelwa kwe-ectopic
Emva kokukhulelwa kukho ukulungiswa kwakhona kwemimiselo ye-hormonal, ngoko ke ngokusemgangathweni okanye kwinqanaba leenyanga azifiki. Izisombululo emzimbeni weprogesterone okhulelweyo uyeka iinkqubo zeembuliso - iqanda alivuthanga, alifaki kwisisu esiswini, ngoko ukunyuka kungangeni. Oku kwenzeka ngokukhulelwa okuqhelekileyo, kodwa nge-ectopic omnye umfanekiso unokwenzeka.
Ngokuqhelekileyo, abafazi abanokuphawula kweso saziso sokuvela kwimihla. Ngelo xesha, umlinganiso wexesha lokutshintsha - aphefumulwanga, kumntu we-ointment character, ezinsukwini ezintathu zokugqibela. Ukongezelela, ibhinqa liyakubona ukukhutshwa kwamanzi, kungabandakanywa nomjikelezo wokuya esikhathini, ezihambelana nokunyuka. Baphathwa ngoogqirha njengempawu zokukhulelwa kwe-ectopic kwaye zibonisa ukuba kuthunyelwa kwiingcali.
Ukukhulelwa kwe-Ectopic kwi-ultrasound
Efuna ukunqanda ukuphindaphinda kwentsholongwane, abafazi bahlala benomdla oogqirha indlela yokuchonga ukukhulelwa kwe-ectopic kumaxesha okuqala. Ukuba kukho ukusola, i-ultrasound inikezelwe. Ingenziwa kwiiveki ezi-6 ukuya ku-7 (ngokusebenzisa udonga lwangaphantsi lwangasemva) kunye nakwiiveki ezi-4 ukuya ku-5 (kwi-intravaginallyally). Xa uqhuba ugqirha uhlola isigxina se-uterine sokuba khona kweqanda lomntwana. Ngokukhulelwa kwe-ectopic, itholakala kwi-tube, i-ovary, i-peritoneum, kodwa ingekho kwisibeletho. Phakathi kwezinye iimpawu ezibonisa ukukhulelwa kwe-ectopic ngexesha le-ultrasound, oku kulandelayo:
- ubungakanani besibeleko abuhambisani nomhla wokugqibela;
- kukho utywala kwindawo yangaphandle;
- kukho ukudibanisa kwindawo ejoliswe kuyo yokufakelwa kweqanda lomntwana.
Ukukhulelwa kwe-Ectopic - yintoni oyenzayo?
Ukufumana ukukhulelwa kwe-ectopic kumanyathelo okuqala kufuna ukungenelela kwonyango oluphuthumayo. Ukuba kukho nayiphi na impawu echazwe ngasentla ichazwe, ukukhankanywa kwephulo kufuneka kuhanjiswe kwiingcali. Ukukhethwa kwendlela yokonyango kuxhomekeke kwixesha lokunyanga, isigaba sokuthoba kunye nexesha lokukhulelwa. Ngokukhulelwa kwe-ectopic, ukungenelela kweengxaki kunokubandakanya:
- kwamkela amayeza avusayo;
- ukususwa kokukhutshwa kweqanda lomntwana;
- ukususwa kwee-fallopian tubes kunye nezixhobo.
Ukukhulelwa kwe-Ectopic - ukusebenza
Indlela kunye nobukhulu bokuhlinzwa kuthiwa ngummandla weqanda lomntwana. Ukususwa kwe-ectopic pregnancy eyenzeka kwiphubhu kubandakanya i-laparoscopy, enokuthi yenziwe ngeendlela ezimbini:
- I-Tubectomy - ingenelelo yokuphaphazeleka , ehamba kunye nokususwa kwebhubhu ye-uterine eneqanda lomntwana.
- I-tubotomy - ukususwa kwe-embryo kuphela, ityhupi ye-fallopian ihlala.
Xa ukhetha indlela, oogqirha, ukongeza koku ngasentla, qwalasela oku kulandelayo:
- umnqweno wesigulana sokuba nabantwana kwikamva;
- Iqondo lokuguqulwa kwesakhiwo eludongeni lombhobho;
- Ubukho benkqubo yokunamathela kwintambo ye-pelvic, eyandisa ingozi yokuphuculwa ngokuphindaphindiweyo kokukhulelwa kwe-ectopic.
Ukukhulelwa kwe-Ectopic - imiphumela
Oluphulo lushiya umshicilelo kumsebenzi wenkqubo yokuzala. Xa ukukhulelwa kokuqala kwe-ectopic kufunyanwa ngexesha, iindlela zokwelapha zenziwa ngokuchanekileyo kwaye ngexesha, lo mfazi unethuba eliphezulu lokukhulelwa ngokuphindaphindiweyo kwaye ngokuqhelekileyo uthathe umntwana onempilo. Nangona kunjalo, ukukhulelwa kwe-ectopic, iimpawu zokuqala ezingekho, zivame ukumiselwa ekupheleni kwekota yokuqala. Ukufumanisa ukukhubazeka ekupheleni kwexesha, emva kweveki ezi-10, kubangele ukuphuhliswa kweengxaki, iimiphumo ezingathandekiyo phakathi kwazo:
- ukuphuphuma kwebhubhu
- kuphuka kwe-ovari;
- kuphuma igazi.
Ezi ngxaki zidla ngokufuna ukungenelelo ngoncedo, ngethuba apho ityhubhu okanye i-ovary ewonakalisiweyo isuswe. Oku kunciphisa kakhulu amathuba omfazi wokukhulelwa okulandelayo. Izigulane ezininzi emva kokukhulelwa kwangaphambili kwe-ectopic zijongene nokuxilongwa. Isisombululo esisodwa kwingxaki kule meko yi-IVF.
Ukukhulelwa emva kwe-ectopic
Ukukhulelwa kwe-Ectopic (tubal) njalo kufuna ukuphazamiseka. Le nkqubo ichaphazela kakubi inkqubo yokuzala. Utshintsho olubukhali kwi-concentration ye-hormone egazini lukhokelela ekuphazamiseni inkqubo ye-hormonal. Ngenxa yoko, oogqirha bathi emva kokukhulelwa kwe-ectopic kunokwenzeka ukucwangcisa ukukhulelwa kungekuqaleni kweenyanga ezintandathu.
Kubalulekile ukuba uqaphele ukuba emva kokupheliswa kokukhulelwa kwe-ectopic, iimpawu kunye neempawu zazo ezikhankanywe ngasentla, ithuba lokuba ngumama kwabasetyhini ligcinwe. Ubunokwenzeka bokukhulelwa kuxhomekeke ekubeni i-oviduct okanye i-ovary isusiwe kunye neqanda lomntwana. Ukususwa kwesinye sezitho kunciphisa amathuba okukhulelwa ngu-50%. Qalisa inkqubo yokulungiselela ukukhulelwa okulandelayo ogqirha bancomela uphononongo olunzulu nokuseka isizathu. Ngokubanzi, unyango lokubuyisela emva kokukhulelwa kwe-ectopic luquka:
- Ukwamkelwa kweziyobisi ze-hormonal.
- Ikhosi yeziyobisi ezichasayo.
- I-Physiotherapy: unyango lwe-UHF, ultratonotherapy, i-electrostimulation, i-ultra-frequency ultrasound, i-laser stimulation.